General Appeal Form - Department of Computer Science

Please read carefully (Filling out the form incorrectly will delay processing)
Use this form if you would like to appeal/address an issue, concern, or circumstance to the Chair of the Department of Computer Science. You should first discuss your concern with your instructor.

Please allow at least 48 hours for the chair to review your request. Some special cases may require a longer processing time.
After the chair has reviewed this request, the office will contact you with a decision, or a meeting request for further discussion.
Falsifying information on this form is a violation of the Texas State University Honor Code.

Name *

Texas State ID Number *

Example: A00000000

Net ID: *

Major: *

Have you discussed your concern with the instructor? *

Yes

Instructor Name: *

Course Name *

Course Number *

(Example: CS1428)

Course CRN# *

(5-Digits)

Semester and Year the course was taken: *

What is your concern? *

Please be detailed and use correct grammer, puntuation and spelling.

Steps you took to first resolve this issue with your instructor: *

Please be detailed and use corrector grammer, punctuaton, and spelling.

Desired Outcome: *

Please explain your desired outcome of this appeal.

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